Healthcare Provider Details

I. General information

NPI: 1578488185
Provider Name (Legal Business Name): BRADSHAW MEYER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2433 S 130TH CIR STE 100
OMAHA NE
68144-2659
US

IV. Provider business mailing address

2931 S 159TH AVENUE CIR
OMAHA NE
68130-1967
US

V. Phone/Fax

Practice location:
  • Phone: 402-660-3225
  • Fax:
Mailing address:
  • Phone: 402-660-3225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATRINA J BISHOP
Title or Position: OWNER
Credential: LADC
Phone: 402-660-3225